Financial Policy

Our financial policy

Our office will do everything possible to help you understand and make the most of your benefits. Please remember that you are ultimately responsible for all expenses incurred. Once we receive payment from your dental/medical benefit plan, we will notify you by mail if there is a balance. After your dental/medical benefit plan has paid its portion, a statement is sent to the mailing address on record, for the remaining balance.

Payment is expected within 10 business days of the statement date. On or around the 10th business day an attempt will be made to reach you by phone and if no contact is made, the credit card on file will be charged the remaining balance. For patients that are unwilling to keep credit card authorization on file with our office the total estimated fee through the dental benefit plan is due at the time of service.
Balances older than sixty days may be subject to late charges, collection fees and/or reasonable attorney fees and costs. If you have any questions regarding the above information, please do not hesitate to ask us.You assign any dental benefits to which you may be entitled to Astoria Periodontics & Oral Surgery. If there is a denial of coverage by your dental benefit plan, you designate Astoria Periodontics & Oral Surgery or its representative to appeal or otherwise pursue coverage, and/or communicate directly with your dental benefit plan regarding coverage, on their behalf and yours.

Our office will do everything possible to help you understand and make the most of your dental insurance benefits. Before any planned procedure, we will provide you with a pre-determination form to submit to your insurance company; this will allow you to know in advance what portion of the fees will be covered. After each treatment is complete, you will be given a claim form to recover the appropriated amount from your insurance company. Please remember that you are ultimately responsible for all expenses incurred. We urge you to read your insurance policy so that you are fully aware of coverage and any limitations of the benefits provided.